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Updated: Jun 4, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Republished review: Mitral regurgitation in patients with aortic stenosis undergoing valve replacement
P Unger1, C Dedobbeleer, G Van Camp
1Cardiology Department, ULB-Erasme Hospital, 808 route de Lennik, B-1070 Brussels, Belgium. philippe.unger@erasme.ulb.ac.be
Abstract:
Mitral regurgitation is a frequent finding in patients with aortic stenosis scheduled for aortic valve replacement. Detection of mitral regurgitation in such patients has important implications, as it can independently affect functional status and prognosis. When mitral regurgitation is moderate to severe, a decision to operate on both valves should only be made following a careful clinical and echocardiographic assessment. Indeed, double-valve surgery increases perioperative and postoperative risks, and mitral regurgitation may improve spontaneously after isolated aortic valve replacement. Better understanding of the determinants of these changes appears particularly crucial in the light of recent advances in percutaneous aortic valve replacement.
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